![]() ![]() Flush the CVAD with 10 - 20 mL sodium chloride 0.Learn more A SINGLE INFUSION PLATFORM FOR PAIN MANAGEMENT.Dispose of the cassette directly into a hazardous/cytotoxic bin as per institutional guidelines.Disconnect the cassette and IV tubing from the CVAD being careful not to contaminate surroundings.Disconnect the cassette from the CADD pump.Place plastic-backed absorbent sheet underneath CVAD.Place patient in a comfortable position.Explain procedure to the patient and obtain consent.equipment to disconnect and flush CVAD as per institutional guidelines.procedure tray/trolley cleaned with approved cleaning agent.The following is a list of recommended equipment to undertake this procedure: Document procedure and follow up care in the medical record.Dispose of all hazardous waste into a hazardous/cytotoxic bin as per institutional guidelines.Start pump and place pump into cover and attach securely.if the infusion time needs to be altered consult a pharmacist for advice on safe delivery times to minimise patient toxicity.two registered nurses must check and sign that the program entered into the pump is correct.Ensure CADD pump is secure and the insertion site can be visualised.Connect CADD pump line to CVAD using an aseptic non touch technique.Check drugs with another health professional against prescription and treatment protocol.if unable to get blood return medical officer review is required prior to proceeding.if using an implanted venous port check needle position if not in position or patent change needle.attempt to aspirate blood again and infuse a bolus of 25 to 100 mL of normal saline.flush the catheter with 10 to 20 mL sodium chloride 0.9% using the push-pull method.if there is no blood return, reposition the patient.Ensure CVAD is patent by checking for blood return.Access CVAD ( TIVAD, CICC) as per protocol requirements and institutional guidelines.Place a plastic-backed sheet underneath CVAD.see manual for information on programming a CADD ®-Solis VIP Pump.Program the pump as per manufacturer's instructions and lock the pump.Do not use scissors or sharp objects to perform this procedure.gently twist and pull the cassette to ensure it is secure.lock the cassette in position using the pump key.place the pump upright on a firm, flat surface and press down so the cassette fits tightly against the pump.insert the cassette hooks into the hinge pins on the pump.Set up equipment and CADD ®-Solis VIP pump as per manufacturer's instructions.Position patient in a comfortable position.Explain procedure to patient and obtain consent as per institutional guidelines.ensure that all premedications and fluids have been administered as ordered.Double bag and dispose of drug cassette as per institutional guidelines. Return drug to pharmacy if solution does not clear inspect the drug for cloudiness and particulate matter, if present gently agitate the drug cassette as medication can settle on storage.Note: laboratory parameters or vital signs that are not within normal limits and/or patients with grade 2 or more toxicities should be referred to their medical officer for review prior to administration Prior to the clinical procedure central venous access device (CVAD) assessment.review of side effects experienced by the patient - see the antineoplastic drug patient assessment tool.relevant laboratory and patient parameters as per treatment protocol.Pre-treatment patient assessment should include: educate the patient about managing the pump at home and what to do in the event of a drug spill or extravasation - see the patient information.educate the patient about the treatment and side effects - see the antineoplastic drug patient education checklist.How you have radiation therapy treatmentĮducate patient and carer as per treatment protocol:.How you have anticancer medicine treatment.Fertility, sex, pregnancy and breastfeeding.Complementary and alternative medicines.Gastric and oesophageal adjuvant and neoadjuvant.Genetic testing using cancer gene panels.Genetic testing for heritable pathogenic variants. ![]()
0 Comments
Leave a Reply. |